Prime Therapeutics is looking to manage and enhance its Trade Relations program, focusing on medical and pharmacy formulary and market access strategies, particularly within Medicare Part D and Managed Medicaid. The goal is to drive strategic product decisions, optimize pharmaceutical manufacturer contracts, and improve overall contract performance and value for stakeholders.
Requirements
- 4 years Trade / Rebates, or formulary development experience
- Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint
- Experience reading, interpreting, and negotiating contract language
- Extensive experience within the PBM industry, with expert knowledge of Managed Medicaid, Medicare Part D, and health plans
- Extensive experience with policy and regulatory actions as it pertains to Government Programs business (i.e. Inflation Reduction Act)
- Familiarity with contract language and risk mitigation concepts
- Experience with rebates, drug spend and formulary strategies
Responsibilities
- Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and pull through execution activities.
- Lead the government programs negotiator and client team.
- Lead and provide oversight of efforts related to Prime’s Group Purchasing Organization's (GPO) ensuring effective communication and strategic collaboration with GPO for all strategies including rebate bid analysis.
- Manage external and internal relationships necessary to position products and solutions within the market or with pharmaceutical manufacturers; represent company objectives and perspective to external partners (i.e., pharmaceutical manufacturers, clients, marketplace, medical professionals, etc.); including ensuring manufacturers’ products are brought forth internally to evaluate rebate and formulary opportunities for Prime’s business
- Support client alignment and adoption of strategies; providing direction in messaging and pull-through of strategies with internal stakeholders.
- Develop strategic contracts such as Outcomes / Value based contracts.
- Serve as a department resource for escalated client issues, contract analysis, and contract language needs in rebate contracting.
Other
- Bachelor’s degree in business, healthcare management or other related field of study or equivalent combination of education and/or related work experience; HS diploma or GED is required.
- 5 years people management/leadership experience
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
- Strong presenter with excellent oral and written presentation skills, with demonstrated communication and financial presentation skills to all levels of management.
- Ability to establish trust, rapport, and build close working relationships at all levels within all levels of Prime
